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FMLA & Other Leave Information

Leave Forms and Notices

State Disability Insurance / Paid Family Leave Insurance

California state law requires employees to participate in either a State Disability and Paid Family Leave Insurance or a Voluntary Short-Term Disability (VSDI) and Paid Family Leave Insurance (PFLI) and pay the cost.

Costs and How It Works     

California State Disability Plan will pay 55% of earnings up to the maximum weekly benefit.  A 7-day waiting period applies.  Should you continue to be disabled for more than 14 days, the plan will retroactively pay you for the 7-day waiting period.  However, the benefit will begin immediately if you are hospitalized.

Paid Family Leave Insurance provides income (up to six weeks within any 12-month period) to employees who take time off work to care for their seriously ill child, spouse, parent, or to bond with a new child. Paid Family Leave Insurance benefits will be paid up to the maximum weekly benefit. You may be required to use up to 1 week of sick/vacation pay prior to the benefit paying. Employees who are on short term disability or receiving Workers' Compensation benefits are not eligible to receive the Paid Family Leave Insurance benefit. 

How to File State Disability or Paid Family Leave Claim

University of the Pacific understands the importance of income protection for you and your family.  If you are unable to work due to a disabling illness or injury, caring for a qualified family member who is unable to work or bonding with a new child, you may qualify for wage replacement from the California State Disability Insurance (SDI) program.  

STEP 1: (As soon as possible)

  • Notify your supervisor and your Human Resources Department of your need.
  • Always follow your department's sick call in procedures.  (Please provide the dates you anticipate being gone, but you do not need to discuss private health information.)

STEP 2: (Within 30 days of your initial absence)

  • To file a disability claim online visit SDI Online at to register for an SDI Online account and create a username and password.  
  • Login to SDI Online to File a New Claim
  • Select File a New Claim under the Main Menu on your home page
  • Select either Disability Insurance Paid Family Leave Care or Paid Family Leave Bonding depending on the reason for you leave
  • Follow the steps on each section to fill out the form
  • Select Submit to send the completed SDI Online Part A - to the EDD
  • On the confirmation page, be sure to write down the Form Receipt Number.  To expedite your disability plan payments you will provide this number to the physician/practitioner (does not apply to Bonding Leave).

STEP 3:   (Within 15 days of reporting your absence to EDD)

  • Submit any additional documentation required by EDD.  Depending on the type of claim you are filing this may include: medical certification from your physician/practitioner, proof of birth, proof of relationship, and statement of care.
  • It is your responsibility to have the physician/practitioner complete and sign the form and submit it to the EDD within 49 days from the date your leave begins or you may lose benefits.